Effectiveness of modified extensor indicis proprius tendon transfer for reconstruction of spontaneously ruptured extensor pollicis longus tendon

• Published in: Zhongguo xiu fu chong jian wai ke za zhi Vol. 26; no. 9; p. 1074
• Main Authors: Zheng, Xin, An, Hongbin, Chen, Tao, Wang, Haibao
• Format: Journal Article
• Language: Chinese
• Published: China 01.09.2012
• Subjects: Adult; Female; Follow-Up Studies; Humans; Male; Middle Aged; Patient Satisfaction; Range of Motion, Articular; Rupture, Spontaneous; Suture Techniques; Tendon Injuries - physiopathology; Tendon Injuries - surgery; Tendon Transfer - methods; Tendons - surgery; Thumb - injuries; Thumb - physiopathology; Thumb - surgery; Treatment Outcome; Wrist Joint - surgery
• ISSN: 1002-1892

To investigate the effectiveness of modified extensor indicis proprius (EIP) tendon transfer for reconstruction of spontaneously ruptured extensor pollicis longus (EPL) tendon by comparing with the traditional EIP tendon transfer. Between January 2009 and December 2011, 11 cases of spontaneously ruptured EPL tendon were treated by modified EIP tendon transfer to reconstruct extension function (modified group). On the base of traditional procedure, the proximal end of EPL tendon was sutured with EIP tendon and the distal end of EIP tendon was crossed round extensor pollicis brevis (EPB) tendon and sutured back with EPL tendon. A specific EI-EPL evaluation method (SEEM) was used to measure the EPL tendon function after transfer. The result was compared with that of the other 18 cases undergoing traditional operation (traditional group). There was no significant difference in gender, age, disease duration, and injury causes between 2 groups (P > 0.05). All incisions healed by first intention. In traditional grou